探索超声和CT对腹部实质脏器闭合性外伤的诊断价值

摘要

目的：探讨超声和CT对腹部实质脏器闭合性外伤的临床诊断价值。方法67例腹部实质脏器闭合性外伤患者，使用超声和CT进行检查，共检查出外伤灶84个，对外伤灶的超声及CT具体表现进行回顾性总结和分析。结果本组84个外伤灶，经超声检查出74个(88.10%)，经CT检查出77个(91.67%)，两种方法比较，差异无统计学意义(P>0.05)。在17个复合脏器损伤中，使用超声诊断出16个(94.12%)，使用CT检查出17个(100.00%)。结论一般情况下不需要CT和超声诊断联合应用，对单一脏器损伤的患者可以选择超声做检查，对复合脏器损伤患者应首先考虑选择使用CT检查。%Objective To explore the clinical diagnostic value of ultrasound and CT for abdominal solid organ closed trauma. Methods A total of 67 patients with abdominal solid organ closed trauma were selected and detected by ultrasound and CT. There were 84 traumatic lesions found, and the results of ultrasound and CT were retrospectively analyzed and summarized. Results Among the 84 lesions, there were 74 cases detected by ultrasound (88.10%), and 77 cases detected by CT (91.67%). Among 17 cases of composite viscera damage, 16 cases were detected by ultrasound (94.12%), and 17 cases were detected by CT (100%). Conclusion The joint application of ultrasound and CT is unnecessary in general situation. Ultrasound can be used for detection of single viscera damage patients, and CT can be used for composite viscera damage.